Wyckoff Dr. Guberman Wyckoff Heights Medical Center

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

N004232 Issued in NY

Legal business name

WYCKOFF DR. GUBERMAN WYCKOFF HEIGHTS MEDICAL CENTER

Practice address

1488 Buschwick Ave, Apt #4C
Brooklyn, NY 11207

Phone

(832) 877-5749

NPI assigned

Jun 18, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christine T Nguyen

Title

Doctor of Podiatric Medicine

Phone

(832) 877-5749

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Wyckoff Dr Guberman Wyckoff Heights Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wycoff Heights Medical Center

  • Ambulatory Surgical Clinic/Center
  • Richmond, TX
  • NPI 1053793513
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1306228085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 BUSHWICK AVE APT 4C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112071636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 BUSCHWICK AVE, APT #4C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11207",
            "telephone_number": "832-877-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYCKOFF DR. GUBERMAN WYCKOFF HEIGHTS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DOCTOR OF PODIATRIC MEDICINE",
        "authorized_official_telephone_number": "832-877-5749"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NY",
            "license": "N004232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. GUBERMAN",
            "identifier": "N004232",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latoya Wyche, M.S.ED.
• Wyckoff & Bleecker Drugs Inc
• Wyckoff Anesthesia and Medical Services, PC
• Wyckoff Doctors
• Wyckoff Doctors
• Wyckoff Emergency Medicine Services, P.C.
• Wyckoff Emergency Medicine Services, PC
• Wyckoff Family Medical Services P C
• Wyckoff Heights Dental Services P.C.
• Wyckoff Heights Dental Services, PC

• Long Term Care Hospital in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Long Term Care Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.